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112
ance at any particular Clinic. As will be seen, this was the policy
already being pursued in Hampstead. Having formed the opinion
that the time was ripe for our arrangements to be yet further
developed, I advised the Public Health Committee that the Scheme at
present in operation should be augmented, and as and from the 1st of
April, 1935, should be as follows:—
1.—The Borough Council to pay a fee of 7s. 6d. to general
practitioners for each child completely immunised, and
to provide the immunising material free of charge, the
practitioner to give the child three injections at weekly
intervals, and to enter the necessary particulars on a record
card, which card will act as the account for his fees, which
will be paid quarterly. The whole of the responsibility for
the administration of the injections to be placed on the
practitioner, who is to be responsible for any subsequent
medical attention necessary, etc.
2.—The Borough Council to arrange for the attendance of a
doctor at a Special Clinic as occasion demands (probably
fortnightly) to perform the final Schick test, and also to
immunise free of charge those patients who either have no
family practitioner or whose family practitioner does not
wish to participate in the Borough Scheme.
These measures were duly approved by the Council.
During the year 295 children have been immunised under our
Schemes by their private doctor, and 208 at the Council's Clinic, where
130 were also subsequently Schick tested. All these latter gave a
negative result with one exception.
Encephalitis Lcthargica.
No case of this disease was notified during the year.
Dysentery.
There were no less than ten cases of dysentery notified throughout
the year. They were all of the Sonne type and very mild in nature,
and all cases made an uninterrupted recovery. .
Of the ten Hampstead cases, five occurred in a General Hospital
in the Borough, and in addition eight cases were notified of nonHampstead
residents in this Hospital.